行为健康组织的艾滋病毒检测和预防服务:使用实施研究综合框架的多方法研究
Lydia A Chwastiak1, Mira Reichman2, Laurie Sylla3
1Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 325 Ninth Avenue, Box 359911, Seattle, WA, 98104, USA. lchwast@uw.edu.
AIDS and behavior
|December 3, 2025
概括
在行为健康环境中为严重精神疾病患者实施艾滋病毒检测和预防至关重要. 关键的促进者包括支持性的组织文化,而障碍则涉及资源限制和员工培训需求.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 心理健康服务研究研究 心理健康服务研究
背景情况:
- 增加严重精神疾病 (SMI) 患者获得艾滋病毒检测和预防服务的机会是公共卫生优先事项.
- 对于影响行为健康组织内实施这些服务的因素的理解有限.
研究的目的:
- 在行为健康组织中确定实施现场艾滋病毒检测和暴露前预防 (PrEP) 服务的障碍和促进者.
- 探索影响SMI患者预防艾滋病毒服务提供的组织决定因素.
主要方法:
- 这是一项多方法研究,结合了定量调查和定性访谈,在华盛顿州金县进行.
- 利用实施研究综合框架 (CFIR) 2.0进行演性的定性分析.
- 调查了16个组织;对3个组织的21名员工,供应商和领导进行了深入采访.
主要成果:
- 促进者包括积极的组织文化,不判断性护理,长期客户关系和整体护理任务.
- 障碍包括资源短缺,培训不足的员工,基础设施问题 (计费,转介),竞争的服务优先级和知识差距.
- 在现场提供PrEP面临的挑战 (人员培训,服务复杂性) 比HIV检测更大.
结论:
- 行为健康组织在实施艾滋病毒检测和PrEP服务方面面临重大障碍.
- 利用现有的优势,如组织文化和客户关系,可以促进服务整合.
- 能力建设战略,包括培训和伙伴关系,对于改善艾滋病毒预防服务的提供至关重要.
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